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pdfU.S. DEPARTMENT OF COMMERCE
NATIONAL ATMOSPHERIC AND OCEANIC ADMINISTRATION
NATIONAL MARINE FISHERIES SERVICE
PERMITS OFFICE
501 W. OCEAN BLVD., SUITE 4200
LONG BEACH, CA 90802
[email protected]
OMB 0648-0204
EXP 1-31-2020
PERMIT APPLICATION FEE: $
PACIFIC HIGHLY MIGRATORY SPECIES VESSEL PERMIT APPLICATION
Please print legibly or type
SECTION 1 VESSEL INFORMATION
US COAST GUARD DOC OR STATE REG. NUMBER
VESSEL NAME
HOME PORT AND STATE
HAIL PORT AND STATE
RADIO CALL SIGN
DOES THIS VESSEL HAVE A VMS? (REQUIRED FOR VESSELS GREATER THAN 24M)
YES
REGISTERED LENGTH (FT)
REGISTERED BREADTH
(FT)
HOLD CAPACITY (SHORT TONS; 1 ST =
2000 LBS)
REFRIGERATION TYPE
PROPULSION TYPE
HORSEPOWER
GAS
DIESEL
ICE
NO
REGISTERED DEPTH (FT)
BRINE
SPRAY BRINE
HULL MATERIAL
GROSS TONS
NET TONS
BLOWER/BLAST
OTHER
________________
CREW SIZE
OTHER
YEAR BUILT
LOCATION BUILT (CITY,STATE)
PREVIOUS VESSEL NAMES, VESSEL FLAGS, EFFECTIVE DATES
SECTION 2 GEAR TYPE TO BE AUTHORIZED BY THIS PERMIT
RECREATIONAL CHARTER VESSEL
PASSENGER CAPACTY: ____________
COMMERCIAL: SELECT THE GEAR TYPES THE VESSEL WILL BE USING (Some gear types may have additional requirements)
TROLL / JIG
BAIT BOAT
HARPOON
DRIFT GILLNET
DEEP-SET LONGLINE
SECTION 3 VESSEL OWNERSHIP INFORMATION
PERMIT HOLDER / BUSINESS NAME
PURSE SEINE
DATE CORPORATION FILED
BUSINESS ADDRESS, CITY, STATE, ZIP CODE
TELEPHONE
FAX
CELL PHONE
EMAIL
MANAGING OWNER LAST NAME
FIRST NAME
MIDDLE
SUFFIX
DATE OF BIRTH
SECOND OWNER LAST NAME
FIRST NAME
MIDDLE
SUFFIX
DATE OF BIRTH
THRID OWNER LAST NAME
FIRST NAME
MIDDLE
SUFFIX
DATE OF BIRTH
SECTION 4 ELIGIBITY
IS EACH HOLDER OF THIS PERMIT A U.S. CITIZEN (INCLUDING ALL MEMBERS OF AN ASSOCIATION OR JOINT VENTURE)?
YES
NO
SECTION 5 SIGNATURE
I CERTIFY THAT THE ABOVE INFORMATION IS COMPLETE, TRUE, AND CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE _______________________________________ NAME (PRINTED) _________________________________ DATE ____________
Permit application fee: $ .00 payable to “US Department of Commerce – NOAA
Please write your vessel name and Coast Guard/State Registration number in the memo section of your check.
Mail to: Permits Office, 501 W Ocean Blvd., Suite 4200, Long Beach, CA 90802
General – This information is being collected by the National Marine Fisheries Service (NMFS) to ensure that timely and accurate records are
available concerning the fishing vessels of the U.S. that participate in Pacific Ocean fisheries for highly migratory species (HMS). This collection
of information concerning U.S. fishing vessels harvesting tuna in the eastern Pacific Ocean (EPO) is also necessary for the U.S. to comply with
its obligations as a member of the Inter-American Tropical Tuna Commission (IATTC).
This permit is required for commercial fishing vessels and recreational charter vessels that harvest any of the species that are included in the
HMS Fisheries Management Plan. They are: striped marlin (Tetrapturus audax), swordfish (Xiphias gladius), common tresher shark (Alopias
vulpinus), shortfin mako or bonito shark (Isurus oxyrinchus), blue shark (Prionace glauca), north Pacific albacore (Thunnus alalunga), yellowfin
tuna (Thunnaus albacares), bigeye tuna (Thunnus obess), skipjack tuna (Katsuwonus pelamis), northern Bluefin tuna (Thunnus orientalis), and
dorado or dolphinfish (Coryphaena hippurus).
Instructions
Section 1- Vessel Information. Enter vessel information as it appears on the Coast Guard documentation, or if the vessel is not documented, as
it appears on the state registration, vessel tonnage certificate, and/or marine survey. Provide all other information required to the best of your
ability.
Home Port: City and state where the vessel is customarily kept, not necessarily the home port list on the certificate of documentation.
Radio Call Sign – Leave blank if your vessel does not have one.
Operational Vessel Monitoring System (VMS) – Required for vessels fishing in the high seas (outside 200 nm) and commercial vessels greater
than 24 m (78.74 ft.). Contact the permits office at [email protected] for more information.
Section 2 – Gear Endorsements. For commercial fishing vessels, mark only gears that the vessel will use to harvest HMS. Some gears are
subject to additional requirements prior to approved endorsements. It is not necessary to list any gear for recreational charter or commercial
passenger fishing vessels (CPFV).
Section 3 – Vessel ownership. Enter the owner's date of birth. The owner’s date of birth will be used as an additional identifier and to establish
the two-year renewal date for the permit. Contact information for the vessel owner is required.
Section 4 – Eligibility. The following vessel owners are eligible to hold a Pacific HMS permit:
(1) An individual who is a citizen of the United States.
(2) An association, trust, joint venture, or other entity if—(A) each of its members is a citizen of the United States; and (B) it is capable
of holding title to a vessel under the laws of the United States or a State.
(3) A partnership if—(A) each general partner is a citizen of the United States; and (B) the controlling interest in the partnership is
owned by citizens or the United States.
(4) A corporation if—(A) it is incorporated under the laws of the United States or a State; (B) its chief executive officer, by whatever
title, and the chairman of its board of directors are citizens of the United States; and (C) no more of its directors are noncitizens
than a minority of the number necessary to constitute a quorum.
(5) The United States Government.
(6) The government of a State.
Application Processing Fee – Include a check or money order payable to “US Department of Commerce – NOAA.” Cash is not accepted. To pay
by credit card, apply online at http://fisheriespermits.noaa.gov.
Privacy Act Statement: Federal Regulations (at 50 CFR Part 660) authorize collection of this information. This information is used to verify the
identity of the applicant(s) and to accurately retrieve confidential records related to federal commercial fishery permits. Where the requested
information is a Social Security Number, disclosure is mandatory in accordance with the Debt Collection Act (31 U.S.C. 7701).
Paperwork Reduction Act - Public reporting burden for this collection of information is estimated to average 20 minutes per response,
including time for reviewing instructions, searching existing data sources, gathering and maintaining data, and completing and reviewing the
collection of information. Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to
a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that
collection of information displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden, to the Regional Administrator, National Marine Fisheries Service,
501 West Ocean Blvd., Suite 4200, Long Beach, CA 90802-4213.
File Type | application/pdf |
Author | Shannon Penna |
File Modified | 2021-03-03 |
File Created | 2019-11-01 |